Individual
DR. RAVINDRA NATH POLAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 STEWART RD, SUITE 105, MONROE, MI 48162-5304
(734) 240-1760
(734) 240-1780
Mailing address
700 STEWART RD, SUITE 105, MONROE, MI 48162-5304
(734) 240-1760
(734) 240-1780
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
4301058454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605800952
BCBS
MI
05
—
3476819
—
MI
Enumeration date
11/07/2006
Last updated
07/08/2007
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